Provider Demographics
NPI:1710451232
Name:SALIBA, EDWARD (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:SALIBA
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:EDDIE
Other - Middle Name:
Other - Last Name:SALIBA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:PO BOX 638269
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8269
Mailing Address - Country:US
Mailing Address - Phone:440-816-8380
Mailing Address - Fax:440-816-8383
Practice Address - Street 1:27076 BAGLEY ROAD
Practice Address - Street 2:
Practice Address - City:OLMSTED TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44138-1104
Practice Address - Country:US
Practice Address - Phone:440-816-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily